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Organization

JOHN G CLINTHORNE DDS MS & HEAWON LUDIA KIM DMD MS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. HEAWON LUDIA KIM DMD MS (SECRETARY TREASURER OF PC)
(734) 761-3116
Entity
Organization

Contact information

Practice address
1303 PACKARD ST, SUITE 101, ANN ARBOR, MI 48104-3814
(734) 761-3116
(734) 761-5263
Mailing address
1303 PACKARD ST, SUITE 101, ANN ARBOR, MI 48104-3814
(734) 761-3116
(734) 761-5263

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
2901012468
MI
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
2901016885
MI

Other

Enumeration date
08/31/2006
Last updated
08/22/2020
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